Basic Information
| Provider Information | |||||||||
| NPI: | 1548235757 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AREEPHANTHU | ||||||||
| FirstName: | ABRAHAM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 701 MEDICAL PARK DR | ||||||||
| Address2: | SUITE 302 | ||||||||
| City: | HARTSVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295504777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8433835191 | ||||||||
| FaxNumber: | 8433394622 | ||||||||
| Practice Location | |||||||||
| Address1: | 701 MEDICAL PARK DR | ||||||||
| Address2: | SUITE 302 | ||||||||
| City: | HARTSVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295504777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8433835191 | ||||||||
| FaxNumber: | 8433394622 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2006 | ||||||||
| LastUpdateDate: | 02/01/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 18075 | SC | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207Q00000X | 18075 | SC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.